Billing code
Z223A — Shoulder manipulation under general anaesthetic
Shoulder manipulation
Bill for manipulating the shoulder under general anaesthetic when it is the only procedure that day.
Watch for: Any other insured service for the patient the same day reduces Z223 to nil.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $173.00 | $0.00 | $0.00 | $95.76 | $95.76 |
- Code
- Z223A
- Description
- Shoulder manipulation under general anaesthetic
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2026
- Termination date
- No end date
Explanation
Updated October 26, 2026
Manipulation of the shoulder under general anaesthetic as the sole procedure. Pays nil if you bill anything else that day.
What it covers
Z223 is manipulation under general anaesthetic as the sole procedure, listed under Examination and Manipulation in the Shoulder, Arm and Chest section (N24).
Billing rules
- If you claim any other insured service for the patient on the same day, Z223 is reduced to nil (SP5).
- This is a Z-code Independent Operative Procedure (IOP): if your major pre-operative visit was in the past 12 months, only a partial assessment (specialist) or minor assessment (GP) is payable before it that day; if the major pre-operative visit is the same day, no other assessment before it is payable (SP4).
- Age premiums of 10% to 30% apply for patients under 16 (GP64).
Related codes: Z222, D016, R416, R422
Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Shoulder, Arm and Chest, page N24. Surgical Preamble SP5 §22.
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